Information Collection Request

In-Vehicle Drowsiness Detection and Alerting

ICR 201811-2127-002 · OMB 2127-0736 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form 1449C Post Drive Survey (Drowsiness Mitigation and Lane Departure Warning) Form and Instruction New Available
Form 1449B Post Drive Survey (Lane Departure Warning) Form and Instruction New Available
Form 1449A Post Drive Survey (Baseline) Form and Instruction New Available
Form 1448 Drive Break Survey Form and Instruction New Available
Form 1447 Stanford Sleepiness Scale Form and Instruction New Available
Form 1446 Sleep Questionnaire Form and Instruction New Available
Form 1445 Activity Log Form and Instruction New Available
Form 1444 Wellness Survey Form and Instruction New Available
Form 1443 Informed Consent Form and Instruction New Available
Form 1441 Screening Procedures Form and Instruction New Available
IVDDA_AppA_Justification for forms_v10_7_18_18.docx Supplementary Document Uploaded 2018-11-07 Available
IVDDA_Part B_for_OMB.docx Supporting Statement B Uploaded 2018-11-05 Available
IVDDA_Part A_for_OMB.docx Supporting Statement A Uploaded 2018-11-05 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
233911 Testing Form and Instruction NewPost Drive Survey (Drowsiness Mitigation and Lane Departure Warning)
233911 Testing Form and Instruction NewPost Drive Survey (Lane Departure Warning)
233911 Testing Form and Instruction NewPost Drive Survey (Baseline)
233911 Testing Form and Instruction NewDrive Break Survey
233911 Testing Form and Instruction NewStanford Sleepiness Scale
233911 Testing Form and Instruction NewSleep Questionnaire
233911 Testing Form and Instruction NewActivity Log
233910 Screening Form and Instruction NewWellness Survey
233910 Screening Form and Instruction NewInformed Consent
233908 Qualification Form and Instruction NewScreening Procedures

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
05/31/2022 36 Months From Approved
280 0 0
828 0 0
22,277 0 0





Reginfo record details
3
table that charts list of burden
IC Title Form No. Form Name
Qualification 1441
Screening 1444, 1443 ,  
Testing 1446, 1447, 1448, 1449B, 1449C, 1445, 1449A ,   ,   ,   ,   ,   ,  

table that charts list of burden
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 280 0 0 280 0 0
Annual Time Burden (Hours) 828 0 0 828 0 0
Annual Cost Burden (Dollars) 22,277 0 0 22,277 0 0


Reginfo record details
  No